Key result
Cardiac lesions in rheumatoid arthritis are seldom recognized before autopsy, though the relationship is obscured by study exclusions of older patients and those with arteriosclerotic heart disease.
Cardiac lesions occur in rheumatoid arthritis but are seldom recognized before autopsy, highlighting a need for better clinical recognition.
Underrecognition of cardiac lesions in RA warrants clinical vigilance; leaves open whether inclusive cohorts alter this relationship.
CARDIAC lesions are known to occur in rheumatoid arthritis but have seldom been recognized before autopsy. The relation between rheumatoid arthritis and heart disease may not have been readily apparent for various reasons. Most clinical studies, for example, have intentionally excluded patients over fifty years of age and those assumed to have arteriosclerotic heart disease. Other studies are difficult to evaluate because they include patients with juvenile rheumatoid arthritis and ankylosing spondylitis. Though rheumatoid arthritis may manifest itself at any age certain distinctive clinical differences between the adult and juvenile forms suggest that they might well be considered apart. It . . .
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Cathcart et al. (1962) conducted a review in Rheumatoid Heart Disease. Rheumatoid arthritis was evaluated. Cardiac lesions in rheumatoid arthritis are seldom recognized before autopsy, though the relationship is obscured by study exclusions of older patients and those with arteriosclerotic heart disease.
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